• Title/Summary/Keyword: edentulous

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EFFECT OF SURFACE DESIGN ON BOND STRENGTH OF RELINING DENTURE RESIN (결합면 형태가 이장용 레진의 결합강도에 미치는 영향)

  • Park Eun-Ju;Jin Tai-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.42 no.2
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    • pp.167-174
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    • 2004
  • Statement of problem: Removable partial denture and complete denture often require denture base relines to improve the fit against the tissue-bearing mucosa because of gradual changes in edentulous ridge contours and resorption of underlying bone structure. Purpose: This study was performed to investigate the effect of surface design on bond strength of relining denture base resins to denture base acrylic resin. Materials and method: Heat curing resin(Lucitone 199, Dentsply U.S.A. and Vertex, Dentimex, Holland), self curing resin(Tokuso rebase, Tokuyama, Japan), and visible light curing resin(Triad, Dentsply, U.S.A.) were used in this study. The surface designs were classified as butt, bevel and rabbet joint and the bond strengths were measured by Universial Testing Machine (Zwick 2020, Zwick Co., Germany). Results and Conclusion: The obtained results from this study were as follows ; 1. The bond strength of Vertex resin was higher than those of Tokuso rebase and Triad. 2. The bond strength of rabbet and bevel joint was higher than that of butt joint. 3. The failure mode of Triad and Tokuso rebase was mainly adhesive, but cohesive failure was shown mainly in vertex.

A CLINICAL EVALUATION ON THE DESIGN OF REMOVABLE PARTIAL DENTURE (국부의치 설계에 관한 임상적 연구)

  • Chang, Ik-Tae
    • The Journal of Korean Academy of Prosthodontics
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    • v.14 no.1
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    • pp.66-71
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    • 1976
  • The purpose of this investigation was to evaluate the mouth preparation and design of removable partial dentures. A total of 187cases for the prefabricated partial denture frameworks in both maxillary and mandibular semi-dentulous situations (66 cases and 203 cases) was selected from this study. The evaluations of mouth preparation and design observed here involved the classification of edentulous spaces, status of abutment splinting with location, design of direct retainer and structure of maxillary major connector according to the incidence of both dental arches, ages, sexes and segment of semidentulousness. The analyzed results were as follows: 1) The order of frequency rate in removable partial denture construction was Class II (50.27%), Class I (36. 90%), Class III (10.69%), and Class IV (2.14 %). 2) The distribution on design of maxillary removable partial denture prosthesis was 33.22% and 64.11% in mandibular removable partial denture prosthesis. 3) The age distribution of removable partial denture prosthesis was prominent after40 years (41.71%). 4) The design pattern of maxillary major connectors was in order of anteroposterior bar, single palatal bar, palatal strap, U-shape connector. 5) The design pattern of direct retainer was in order of Aker's clasp, I-bar clasp, backaction clasp, cuspid universal clasp. 6) The abutment for partial denture clasp splinted between premolar and premolar and its frequency rate revealed 53.44%. 7) It seemed that the location and design of the indirect retainer showed accepatble limit.

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Implant Therapy and Temporomandibular Disorder

  • Kim, Young-Kyun;Yun, Pil-Young
    • Journal of Korean Dental Science
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    • v.2 no.1
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    • pp.4-10
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    • 2009
  • Though implant treatment is considered as a common treatment option for edentulous patients, there have been few studies on the temporomandibular disorder (TMD) related with implant treatment. The purposes of this study were to evaluate the relevance of TMD to the implant patients and to evaluate the risk factors of TMD in relation with implant treatment. For the evaluation of various risk factors of TMD in relation with implant therapy, clinical evaluation focused on patient factors and implant factors. From a group of 694 patients, 25 patients (3.6 %) were included in this study. The majority of the patients were included in the asymptomatic 'adaptive' group. Parafunction was detected in 11 patients, 8 patients were male. Four patients having parafunction showed complications such as implant failure or fracture of the suprastructure. From the results, it is possible that TMJ related symptoms are developed or aggravated after implant therapy, which requires relatively more chair time; so TMJ examination should be included in the pre-operative evaluation for dental implant patients. Also, it is important to treat patients after they sign an informed consent that includes a detailed explanation on the possibility of TMD during treatment.

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A CLINICAL STUDY OF MAXILLARY SINUS GRAFT FOR IMPLANT PLACEMENT (임프란트 식립시 상악동점막거상술후 예후에 관한 임상적 연구)

  • Park, Lae-yeun;Lee, Jong-han;Kim, O-hwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.20 no.2
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    • pp.166-172
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    • 1998
  • Missing of the upper posterior dentition can cause alveolar bone resorption & pneumatization of Maxillary sinus wall, which makes traditional implant placement impossible, The solution includes various methods to the posterior maxilla to provide adequate bone support for implant installation and long-term survival. -- sinus floor elevation, sinus-lift graft, inlay graft using LeFort I osteotomy, onlay graft, This is a clinical Sr. retrospective study on implant surgery & prosthodontic restoration with upper edentulous posterior jaw from Jan. 1990. to Jun. 1997 at implant clinic of Chonbuk National University Hospital. The results obtained were as follows: 1. Six hundred ninety-nine implants were placed on upper posterior jaw of two hundred seventeen patients, among them one hundred sixty-five implants were placed in forty-four patients with sinus lift. 2. The height of the remained alveolar bone was classified on the base of Misch's concept. This included seventy-nine SA-1s, ninety-seven SA-2s, sixty-five SA-3s and sixty SA-4s. 3. Ninety percent of implants were successfully integrated in non-grafted area and eighty-seven percent of implants were successully integrated in sinus lift area.

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Posterior maxillary segmental osteotomy for management of insufficient intermaxillary vertical space and intermolar width discrepancy: a case report

  • Baeg, SeungWoo;On, SungWoon;Lee, JeongKeun;Song, SeungIl
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.38
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    • pp.28.1-28.6
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    • 2016
  • Backgrounds: Insufficient intermaxillary space is caused by non-restoration following tooth extraction in the past, and this involves eruption of the opposing teeth and changes of the arch structure. Such cases are difficult just by a simple prosthetic approach, and diversified treatment plans should be established. Among these, posterior maxillary segmental osteotomy (PMSO) is an efficient treatment option than extraction of opposing teeth as it surgically repositions multiple erupted teeth and alveolar bone. PMSO can preserve the natural teeth; therefore, it is being regarded as a treatment method which can improve insufficient intermaxillary space significantly. Case presentation: In this case report, the first patient received PMSO in order to place an implant in the mandibular edentulous space after decreased vertical dimension is restored, and the second patient received PMSO along with orthodontic treatment to obtain the intermaxillary space and balance the interarch molar width. Conclusion: PMSO is the treatment of choice when occlusion is compromised in the presence of decreased vertical dimension or arch length discrepancy.

Florid osseous dysplasia in a middle-aged Turkish woman: A case report

  • Onder, Buket;Kursun, Sebnem;Oztas, Bengi;Baris, Emre;Erdem, Erdal
    • Imaging Science in Dentistry
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    • v.43 no.3
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    • pp.197-200
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    • 2013
  • Florid osseous dysplasia (FOD) is an uncommon, benign, cemento-osseous lesion of the jaws. The etiology of FOD is still unknown. It is often asymptomatic and may be identified on routine dental radiographs. The classic radiographic appearance of FOD is amorphous, lobulated, mixed radiolucent/radiopaque masses of cotton-wool appearance with a sclerotic border in the jaws. In our case the lesion was found incidentally on routine periapical radiographs taken for restored teeth and edentulous areas. For further and detailed examination, a panoramic radiograph and cone-beam computed tomograph (CBCT) were taken. The panoramic radiograph and CBCT revealed maxillary bilateral and symmetrical, non-expansile, well-defined, round, radiopaque masses in contact with the root of the maxillary right second molar and left first molar teeth. Our aim in presenting this case report was to highlight the importance of imaging in diagnosis of FOD.

JAW RELATION WITH PERMANENT RECORD BASES IN THE EDENTULOUS PATIENTS (총의치 환자에 있어 Permanent record base를 이용한 악간관계 기록)

  • Heo, Yun-Seok;Shin, Sang-Wan
    • The Journal of Korean Academy of Prosthodontics
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    • v.33 no.2
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    • pp.231-239
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    • 1995
  • When the complete denture is made, the record base for jaw relation is divided into temporary record base and permanent record base. However, The temporary record base include some disadvantages such as, the lackness of intimate contact between model and base, the lackness of retention during the jaw relation registration, When we obtained jaw relation the permanent record bases made from heat curing resin were utilized. We could get several advantages as follows : 1. The permanent record base provided intimate contact between the model and record base. 2. In fabricating occlusal rim on record base, the dimensional change of record base was little because the permanent record base was lesser influenced to thermal change of occlusal rim than the temporary record base. 3. At the stage of jaw relation, the retention of final denture could be early checked. 4. It could be able to get more accurate registration of jaw relation because all procedure were done on the same base during the jaw relation, artificial teeth arrangement, try-in, and final denture construction. 5. Although there was an inconvenience due to double curing procedure, the shrinkage rate in resin polimerization was relatively reduced so that more dimensional stability could be taken.

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SEVERAL METHODS OF FABRICATIONS OF INNER CROWN AND OUTER CROWN IN CONSTRUCTION OF KONUS DENTURE (다양한 Konus denture의 내관 및 외관의 제작방법)

  • Chung Jun-Yong
    • The Journal of Korean Academy of Prosthodontics
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    • v.40 no.4
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    • pp.406-413
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    • 2002
  • The purpose of this article is the consolidation of several methods in fabrication of Konus denture. It is different Konus denture from traditional Clasped removable partial denture in the procedures of construction. There are multiple procedures of fabrications of inner and outer crowns in the construction of Konus denture. It is important to fabricate the inner crown, the outer crown and the denture framework in construction of Konus denture. Each procedure should be performed exactly. However, there are many procedures in fabrications of them, and thus, the operator and technician bear trial and error. This article consolidate the multiple methods of fabrications of components of Konus denture. The first method is completion of inner crown, outer crown and denture after one impression taking. The second method is the procedures of cementation of inner crown, impression taking of edentulous area, and completion of outer crown and denture. The third method is the procedures or pick up impression taking of inner crown and completion of outer crown and denture on the inner crown of working cast. Each method is acceptable, but operater and technician should be accustomed with their own systemic procedures and minimize the errors in the construction of denture.

FIXED/REMOVABLE RECONSTRUCTION IN PARTIALLY EDENTULOUS PATIENT USING $Br{\aa}nrmark$ OSSEOINTEGRATED IMPLANTS AND TWO-PART I.T.I. IMPLANTS(BONEFIT) AS ABUTMENTS (Free-Standing $Br{\aa}nrmark$ Osseointegrated Implants와 Two-part I.T.I. Dental Implants(Benefit)를 이용한 하악 양측 대구치 결손 수복에 관한 임상적 연구(I))

  • Yang, Jae-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.31 no.1
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    • pp.151-162
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    • 1993
  • The author installed $3.75mm\times10mm$ $Br{\aa}nrmark$ osseointegrated implants and $3.5mm\times8mm$ I.T.I. hollow screw implants(Benefit) as a free standing abutment to replace lower left and right molars of 44-year-old female patient. Form the foregoing procedure, the author obtained the following results. 1. Free-standing $Br{\aa}nrmark$ and I.T.I. Hollow screw implants(Benefit) could be used to replace molars effectively without reduction of adjacent natural teeth, 2. Rotation of occlusal gold screw of $Br{\aa}nrmark$ implants was observed under occlusal force. 3. Adjustment of height of I.T.I. abutments was necessary in the mandibular second molar because of the limited occlusal clearance. 4. Form the oral examination, patient comments, panoramic and periapical radiographs, there were no pain, gingival imflammation and mobility, but slight reduction of alveolar bone level was shown around both implant systems. 5. Patient comments were comfortable on both systems. but the patient complained about economic problem of $Br{\aa}nrmark$ system and long treatment treatment time of both systems.

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Finite element analysis on stress distribution of maxillary implant-retained overdentures depending on the Bar attachment design and palatal coverage

  • Kim, Min-Jeong;Hong, Sung-Ok
    • The Journal of Advanced Prosthodontics
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    • v.8 no.2
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    • pp.85-93
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    • 2016
  • PURPOSE. The purpose of this study was to determine the effect of anchorage systems and palatal coverage of denture base on load transfer in maxillary implant-retained overdenture. MATERIALS AND METHODS. Maxillary implant-retained overdentures with 4 implants placed in the anterior region of edentulous maxilla were converted into a 3-D numerical model, and stress distribution patterns in implant supporting bone in the case of unilateral vertical loading on maxillary right first molar were compared with each other depending on various types of anchorage system and palatal coverage extent of denture base using three-dimensional finite element analysis. RESULTS. In all experimental models, the highest stress was concentrated on the most distal implant and implant supporting bone on loaded side. The stress at the most distal implant-supporting bone was concentrated on the cortical bone. In all anchorage system without palatal coverage of denture base, higher stresses were concentrated on the most distal implant and implant supporting bone on loaded side. CONCLUSION. It could be suggested that when making maxillary implant retained overdenture, using Hader bar instead of milled bar and full palatal coverage rather than partial palatal coverage are more beneficial in distributing the stress that is applied on implant supporting bone.